What Nursing Students Need to Know-The Ancillary Tasks Expected on The Job
Student nurses are taught the ways to absorb and retain key nursing modules of knowledge and practical skills in blocks. But the actual practice of nursing is not so easily compartmentalized. Often skills can be packaged to fill overflow needs that become just part of every nurse’s workday. Student nurses can study their sections better when they understand how the interaction between knowledge and their job description intersect.
- MDS Documentation
The Medical Data Sheet comprises all of the elements of a patient’s case history and present conditions. The treatment history and current condition of the patients, the statistics of the vitals and the medication schedule are also cited. These are painstakingly compiled details that are critical in allowing the insurer to evaluate the patient’s case and future coverage, as well as the facility’s ability to perform required services. A nurse that can absorb this work when needed is a hiring gem.
The career path for a MDS Coordinator allows a nurse to train specifically for this position, although man nurses are assigned this duty as a matter of course. Resident assessment in long-term care is a monthly reporting process whereby a facility must sustain an error-free technique and perform a mechanized reporting schedule that repeats every month for every patient in the facility. While a specialist in MDS coordination can do this work full-time, in case of staff shortages or peak reporting times (like then end of the month), various nurses may be asked to volunteer for these tasks.
- Patient Scheduling Coordination
A hospital, skilled nursing unit or long-term care facility houses patients who need specialist and off-site services frequently. Even patients who receive Home Health or in-home nursing need professionally handled schedules from medical offices used to speaking with trained nurses who know how to deal with authorizations, No-Prior-Authorization providers, and patient needs. And confirmation of appointments and transportation is key to maintaining and improving patient health.
Nurses learning how to schedule patient appointments will learn to be patient with busy switchboards, other duties, and multi-tasking confirming and informing the appointment dates with the patient or case manager. Student nurses might think, “I’m not a secretary!” But a mere secretary cannot be trusted with HIPPA data and patient confidences, or make such calls, without a license. And only nurses can be allowed contact with patient chart medical data and the documents and information needed to complete this task.
- Pain Assessment
A pain assessment is triggered by observation of symptoms of pain in a patient, or by patient’s request, or by a scheduled recurrence for a patient suffering acute or chronic reported pain. Nurses are trained observe the symptoms of pain in a patient, such as nonverbal sounds, vocal complaints, and facial expressions. Clenched teeth and wincing matter. Shortness of breath, rapid breathing, and other indicators of pain can be valuable, especially when endorses to other nurses to make them watchful of the same.
An attentive nurses picks up on these things. Patients who perform protective body movements or postures, or actual repeated complaints and nurse’s recorded and reported highest pain scores of pain ranges. The chart data for pain assessment can be extremely valuable when planning a pain management therapy strategy. And the integrity of thematically chart for the patient’s record can be maintained.
- Incident Reporting
The documents fabricate a narrative for evaluation and discussion. Staff at a nursing home often review the chart and an incident report can be valuable in planning the environment and actual care and nursing acuity for specific patients. Accuracy of simple facts like dates and times, clarity of writing, overall commitment to highest and best practices and student nursing preparation from the beginning of their career will allow the patient the best chance at an accord to the benefit of all.
- Health Insurance Case Investigation
Often patient or anonymous complaints generate a grievance or abuse allegation. Utilizing these grievance processes does not prohibit the legal rights of a patient, but will commit a facility to relate facts known and committed o the medical chart. Confidentiality is of the utmost concern in these situations. Nurse known to be capable of keeping secrets and handling important situations with poise and skill will be noticed for promotion and special recognition.
- Public Oversight Agency
The oversight agencies such as the Ombudsman programs involve the prompt and detailed investigation of any incident or claim. The recommendation of a case manager or family member can prompt further investigation of abuse claims or environmental violations. Civil code violations for patient care become a matter of record when allegations are substantiated by the investigating agency.
- Law Enforcement Testimony
During the course of any nursing shift, extreme incidents will arise. Patients will have altercations that become violent or abusive. Residents rights demand that such extreme incident be reported to local law enforcement. Often a patient’s family or a relative will be an outcry witness if they are present. To build a strong case, the attorney will review the police record. What a nurse says at this time will be key or the plaintiff or the defense.
So, when student nurses hear about MDS Documentation, they should understand that will be them someday. The first time they have to stay on hold for a doctor’s office longer than twenty minutes, to schedule one appointment, they should have anticipated this as part of a nursing career. When student nurses see a co-worker or stranger complain of pain or evidence nonverbal complaints, they should feel the prompt to perform a pain assessment.
All of the book work and practical exams, intern ships and training sessions must combine to deliver skill sets that measure up to these challenges, as well as regular nursing chores. And student nurses should understand from the outset, that in any nursing career, that command of the facts is pivotal. A nurse managing information related to patient incidents, nursing investigations, and medical facility’s oversight agency communications are of ultimate importance. These combined tasks and skills, as well a nursing student‘s learned abilities on the job, will make any nurse outstanding in her field.